Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyrun Keith Richardson, MD

Individual provider Urology Physician · NPI 1205834074

Tyrun Keith Richardson, MD is an Urology in Springfield, Missouri. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 1983, 43 years ago. Practices with Mercy Clinic Springfield Communities, a 1,126-clinician group and accepts Medicare assignment. Licensed in Kansas, Missouri and Oklahoma.

Years since qualifying
43
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
KS, MO, OK
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1965 S Fremont Ave Ste 370
Springfield, MO 65804-2201
Phone: (417) 820-0300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 2016012292 (MO)
Urology Physician Taxonomy 208800000X · Licence 04-33531 (KS)
Urology Physician Taxonomy 208800000X · Licence 31026 (OK)

Record details

NPI number1205834074
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 14, 2005
Last updated in NPPESJune 16, 2016
Mailing addressPo Box 505164, Saint Louis, MO 63150-5164

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 1983 (43 years in practice)
Group practice Mercy Clinic Springfield Communities — 1126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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